{"id":4039,"date":"2019-10-02T15:28:12","date_gmt":"2019-10-02T05:28:12","guid":{"rendered":"https:\/\/mvec.mcri.edu.au\/?page_id=4039"},"modified":"2022-01-18T01:05:02","modified_gmt":"2022-01-17T14:05:02","slug":"cold-chain-helpful-resources","status":"publish","type":"references","link":"https:\/\/mvec.mcri.edu.au\/vi\/references\/cold-chain-helpful-resources\/","title":{"rendered":"d\u00e2y chuy\u1ec1n l\u1ea1nh"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><div data-parent=\"true\" class=\"vc_row row-container\" id=\"row-unique-0\"><div class=\"row single-top-padding single-bottom-padding one-h-padding full-width row-parent\"><div class=\"wpb_row row-inner\"><div class=\"wpb_column pos-top pos-center align_left column_parent col-lg-12 single-internal-gutter\"><div class=\"uncol style-light\"  ><div class=\"uncoltable\"><div class=\"uncell no-block-padding\" ><div class=\"uncont\" ><div class=\"uncode_text_column\" ><p>D\u00e2y chuy\u1ec1n l\u1ea1nh m\u00f4 t\u1ea3 h\u1ec7 th\u1ed1ng v\u1eadn chuy\u1ec3n v\u00e0 b\u1ea3o qu\u1ea3n v\u1eafc xin trong nhi\u1ec7t \u0111\u1ed9 khuy\u1ebfn c\u00e1o c\u1ee7a nh\u00e0 s\u1ea3n xu\u1ea5t. N\u00f3 b\u1eaft \u0111\u1ea7u t\u1eeb khi v\u1eafc xin \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t, v\u1eadn chuy\u1ec3n qua c\u00e1c trung t\u00e2m ph\u00e2n ph\u1ed1i v\u1eafc xin, \u0111\u1ebfn c\u00e1c c\u01a1 s\u1edf cung c\u1ea5p d\u1ecbch v\u1ee5 ti\u00eam ch\u1ee7ng v\u00e0 k\u1ebft th\u00fac khi v\u1eafc xin \u0111\u01b0\u1ee3c ti\u00eam.<\/p>\n<p>H\u1ea7u h\u1ebft c\u00e1c lo\u1ea1i v\u1eafc-xin c\u0169ng nh\u1ea1y c\u1ea3m v\u1edbi tia c\u1ef1c t\u00edm v\u00e0 \u00e1nh s\u00e1ng hu\u1ef3nh quang v\u00e0 ph\u1ea3i \u0111\u01b0\u1ee3c b\u1ea3o qu\u1ea3n trong bao b\u00ec g\u1ed1c.<\/p>\n<p>Vi\u1ec7c kh\u00f4ng b\u1ea3o qu\u1ea3n v\u00e0 x\u1eed l\u00fd v\u1eafc xin \u0111\u00fang c\u00e1ch c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn gi\u1ea3m hi\u1ec7u l\u1ef1c c\u1ee7a v\u1eafc xin v\u00e0 \u0111\u00e1p \u1ee9ng mi\u1ec5n d\u1ecbch kh\u00f4ng \u0111\u1ea7y \u0111\u1ee7 \u1edf ng\u01b0\u1eddi nh\u1eadn v\u1eafc xin c\u0169ng nh\u01b0 kh\u1ea3 n\u0103ng b\u1ea3o v\u1ec7 ch\u1ed1ng l\u1ea1i b\u1ec7nh t\u1eadt k\u00e9m.<\/p>\n<h2>B\u1ea3o qu\u1ea3n v\u1eafc xin truy\u1ec1n th\u1ed1ng<\/h2>\n<p>H\u1ea7u h\u1ebft c\u00e1c lo\u1ea1i v\u1eafc xin ph\u1ea3i \u0111\u01b0\u1ee3c v\u1eadn chuy\u1ec3n v\u00e0 b\u1ea3o qu\u1ea3n trong nhi\u1ec7t \u0111\u1ed9 d\u00e2y chuy\u1ec1n l\u1ea1nh truy\u1ec1n th\u1ed1ng t\u1eeb +2\u00b0C \u0111\u1ebfn +8\u00b0C. Nhi\u1ec7t \u0111\u1ed9 t\u1ed1i \u01b0u l\u00e0 +5\u00b0C.<\/p>\n<p>T\u1ee7 l\u1ea1nh v\u1eafc-xin chuy\u00ean d\u1ee5ng \u0111\u01b0\u1ee3c \u01b0a chu\u1ed9ng h\u01a1n \u0111\u1ec3 b\u1ea3o qu\u1ea3n v\u1eafc-xin v\u00ec ch\u00fang \u0111\u01b0\u1ee3c thi\u1ebft k\u1ebf v\u00e0 ch\u1ebf t\u1ea1o \u0111\u1eb7c bi\u1ec7t \u0111\u1ec3 b\u1ea3o qu\u1ea3n v\u1eafc-xin \u1edf nh\u1eefng nhi\u1ec7t \u0111\u1ed9 n\u00e0y. T\u1ee7 l\u1ea1nh gia d\u1ee5ng kh\u00f4ng th\u00edch h\u1ee3p \u0111\u1ec3 b\u1ea3o qu\u1ea3n v\u1eafc xin.<\/p>\n<p>\u0110\u1ed1i v\u1edbi c\u00e1c ph\u00f2ng kh\u00e1m ti\u00eam ch\u1ee7ng di \u0111\u1ed9ng ho\u1eb7c ti\u1ebfp c\u1eadn c\u1ed9ng \u0111\u1ed3ng, v\u1eafc xin c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c v\u1eadn chuy\u1ec3n trong th\u00f9ng gi\u1eef l\u1ea1nh ch\u1ea5t l\u01b0\u1ee3ng cao. M\u00e1y l\u00e0m m\u00e1t ph\u1ea3i \u0111\u01b0\u1ee3c \u0111\u00f3ng g\u00f3i ph\u00f9 h\u1ee3p b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng \u0111\u00e1 ho\u1eb7c t\u00fai gel v\u00e0 theo d\u00f5i nhi\u1ec7t \u0111\u1ed9 \u0111\u00e1ng tin c\u1eady \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng xuy\u00ean su\u1ed1t. T\u1ee7 m\u00e1t kh\u00f4ng d\u00f9ng \u0111\u1ec3 b\u1ea3o qu\u1ea3n v\u1eafc xin trong th\u1eddi gian d\u00e0i (h\u01a1n 8 gi\u1edd) ho\u1eb7c trong \u0111i\u1ec1u ki\u1ec7n th\u1eddi ti\u1ebft kh\u1eafc nghi\u1ec7t.<\/p>\n<p>Th\u00f4ng tin th\u00eam v\u1ec1 b\u1ea3o qu\u1ea3n v\u00e0 qu\u1ea3n l\u00fd v\u1eafc xin truy\u1ec1n th\u1ed1ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y t\u1ea1i H\u01b0\u1edbng d\u1eabn b\u1ea3o qu\u1ea3n v\u1eafc xin qu\u1ed1c gia: <a href=\"https:\/\/www.health.gov.au\/resources\/publications\/national-vaccine-storage-guidelines-strive-for-5\" target=\"_blank\" rel=\"noopener\">Ph\u1ea5n \u0111\u1ea5u 5.<\/a><\/p>\n<h2>L\u01b0u tr\u1eef chu\u1ed7i si\u00eau l\u1ea1nh<\/h2>\n<p>C\u1ea7n c\u00f3 nhi\u1ec7t \u0111\u1ed9 c\u1ef1c th\u1ea5p \u0111\u1ec3 b\u1ea3o qu\u1ea3n m\u1ed9t s\u1ed1 lo\u1ea1i v\u1eafc xin COVID-19.<\/p>\n<p><a href=\"https:\/\/mvec.mcri.edu.au\/references\/comirnaty\/\">Comirnaty\u2122<\/a>\u00a0(Pfizer\/BioNTech) y\u00eau c\u1ea7u b\u1ea3o qu\u1ea3n theo d\u00e2y chuy\u1ec1n c\u1ef1c l\u1ea1nh trong t\u1ee7 \u0111\u00f4ng chuy\u00ean d\u1ee5ng \u1edf nhi\u1ec7t \u0111\u1ed9 t\u1eeb -90\u00b0C \u0111\u1ebfn -60\u00b0C. C\u1ea7n c\u00f3 nh\u1eefng ng\u01b0\u1eddi g\u1eedi h\u00e0ng gi\u1eef nhi\u1ec7t v\u1edbi c\u00e1c th\u00f9ng v\u1eafc-xin ng\u1eadp trong \u0111\u00e1 kh\u00f4 \u0111\u1ec3 v\u1eadn chuy\u1ec3n.<\/p>\n<p><a href=\"https:\/\/mvec.mcri.edu.au\/references\/moderna-covid-19-vaccine\/\">Spikevax<\/a> (elasomeran) y\u00eau c\u1ea7u b\u1ea3o qu\u1ea3n theo d\u00e2y chuy\u1ec1n si\u00eau l\u1ea1nh t\u1eeb -25\u00b0C \u0111\u1ebfn -15\u00b0C. Sau khi r\u00e3 \u0111\u00f4ng, Spievax c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c b\u1ea3o qu\u1ea3n v\u00e0 v\u1eadn chuy\u1ec3n \u1edf nhi\u1ec7t \u0111\u1ed9 t\u1eeb +2\u00b0C \u0111\u1ebfn +8\u00b0C trong t\u1ed1i \u0111a 30 ng\u00e0y.<\/p>\n<p>Thi\u1ebft b\u1ecb x\u1eed l\u00fd d\u00e2y chuy\u1ec1n c\u1ef1c l\u1ea1nh ph\u1ea3i \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng theo l\u1eddi khuy\u00ean c\u1ee7a nh\u00e0 s\u1ea3n xu\u1ea5t khi x\u1eed l\u00fd v\u1eafc xin \u0111\u00f4ng l\u1ea1nh. V\u1eafc xin \u0111\u00f4ng l\u1ea1nh m\u1ed9t khi \u0111\u00e3 \u0111\u01b0\u1ee3c r\u00e3 \u0111\u00f4ng th\u00ec kh\u00f4ng th\u1ec3 \u0111\u00f4ng l\u1ea1nh l\u1ea1i.<\/p>\n<p>\u0110\u1ec3 bi\u1ebft th\u00eam th\u00f4ng tin, h\u00e3y tham kh\u1ea3o\u00a0<a href=\"https:\/\/www.coronavirus.vic.gov.au\/victorian-covid-19-vaccination-guidelines\" target=\"_blank\" rel=\"noopener\">H\u01b0\u1edbng d\u1eabn ti\u00eam ch\u1ee7ng COVID-19 c\u1ee7a Victoria<\/a>.<\/p>\n<h2><strong>V\u1eafc-xin mua t\u1ea1i nh\u00e0 thu\u1ed1c c\u1ed9ng \u0111\u1ed3ng<\/strong><\/h2>\n<p>Chu\u1ed7i l\u1ea1nh c\u1ea7n \u0111\u01b0\u1ee3c duy tr\u00ec, kh\u00f4ng ch\u1ec9 \u0111\u1ed1i v\u1edbi v\u1eafc xin \u0111\u01b0\u1ee3c cung c\u1ea5p trong Ch\u01b0\u01a1ng tr\u00ecnh Ti\u00eam ch\u1ee7ng Qu\u1ed1c gia m\u00e0 c\u00f2n \u0111\u1ed1i v\u1edbi v\u1eafc xin m\u00e0 m\u1ed9t ng\u01b0\u1eddi mua t\u1eeb nh\u00e0 thu\u1ed1c theo toa. C\u00e1c b\u00e1c s\u0129 k\u00ea \u0111\u01a1n v\u1eafc-xin n\u00ean khuy\u00ean m\u1ecdi ng\u01b0\u1eddi r\u1eb1ng \u0111i\u1ec1u quan tr\u1ecdng l\u00e0 ch\u1ec9 mua v\u1eafc-xin t\u1eeb nh\u00e0 thu\u1ed1c ngay tr\u01b0\u1edbc khi \u0111\u1ebfn ph\u00f2ng kh\u00e1m ho\u1eb7c ph\u00f2ng kh\u00e1m \u0111\u1ec3 ti\u00eam v\u1eafc-xin. D\u01b0\u1ee3c s\u0129 c\u0169ng c\u00f3 tr\u00e1ch nhi\u1ec7m t\u01b0 v\u1ea5n v\u1ec1 t\u1ea7m quan tr\u1ecdng c\u1ee7a vi\u1ec7c duy tr\u00ec d\u00e2y chuy\u1ec1n l\u1ea1nh. Khi \u0111\u1ebfn ph\u00f2ng kh\u00e1m, c\u00e1 nh\u00e2n n\u00ean th\u00f4ng b\u00e1o cho l\u1ec5 t\u00e2n r\u1eb1ng h\u1ecd c\u00f3 v\u1eafc xin \u0111\u1ec3 \u0111\u1eb7t trong t\u1ee7 l\u1ea1nh v\u1eafc xin.<\/p>\n<p>N\u1ebfu nh\u00e0 cung c\u1ea5p d\u1ecbch v\u1ee5 ti\u00eam ch\u1ee7ng c\u00f3 b\u1ea5t k\u1ef3 lo ng\u1ea1i n\u00e0o v\u1ec1 vi\u1ec7c v\u1eafc xin do m\u1ed9t c\u00e1 nh\u00e2n cung c\u1ea5p c\u00f3 th\u1ec3 \u0111\u00e3 \u0111\u01b0\u1ee3c b\u1ea3o qu\u1ea3n ngo\u00e0i ph\u1ea1m vi khuy\u1ebfn c\u00e1o, th\u00ec kh\u00f4ng n\u00ean ti\u00eam v\u1eafc xin \u0111\u00f3.<\/p>\n<h2><strong>Vi ph\u1ea1m chu\u1ed7i l\u1ea1nh<\/strong><\/h2>\n<p>Vi ph\u1ea1m d\u00e2y chuy\u1ec1n l\u1ea1nh x\u1ea3y ra khi v\u1eafc xin ti\u1ebfp x\u00fac v\u1edbi nhi\u1ec7t \u0111\u1ed9 ngo\u00e0i ph\u1ea1m vi khuy\u1ebfn ngh\u1ecb c\u1ee7a nh\u00e0 s\u1ea3n xu\u1ea5t.<\/p>\n<p>Vi ph\u1ea1m d\u00e2y chuy\u1ec1n l\u1ea1nh c\u0169ng bao g\u1ed3m vi\u1ec7c ph\u01a1i v\u1eafc xin ra \u00e1nh s\u00e1ng.<\/p>\n<p>N\u1ebfu nghi ng\u1edd c\u00f3 vi ph\u1ea1m d\u00e2y chuy\u1ec1n l\u1ea1nh, \u0111i\u1ec1u quan tr\u1ecdng l\u00e0 ph\u1ea3i c\u00e1ch ly v\u1eafc xin b\u1ecb \u1ea3nh h\u01b0\u1edfng. Kh\u00f4ng s\u1eed d\u1ee5ng c\u00e1c v\u1eafc-xin b\u1ecb \u1ea3nh h\u01b0\u1edfng cho \u0111\u1ebfn khi c\u00f3 y\u00eau c\u1ea7u l\u00e0m r\u00f5 th\u00eam t\u1eeb c\u00e1c c\u01a1 quan th\u00edch h\u1ee3p. \u0110i\u1ec1u quan tr\u1ecdng l\u00e0 ph\u1ea3i b\u00e1o c\u00e1o b\u1ea5t k\u1ef3 h\u00e0nh vi vi ph\u1ea1m d\u00e2y chuy\u1ec1n l\u1ea1nh n\u00e0o \u0111\u1ec3 c\u00e1c c\u00e1 nh\u00e2n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ti\u00eam ph\u00f2ng l\u1ea1i (n\u1ebfu c\u1ea7n) ho\u1eb7c c\u00f3 th\u1ec3 thu h\u1ed3i v\u1eafc xin ch\u01b0a s\u1eed d\u1ee5ng n\u1ebfu c\u1ea7n.<\/p>\n<p>C\u00e1c vi ph\u1ea1m d\u00e2y chuy\u1ec1n l\u1ea1nh \u0111\u1ed1i v\u1edbi v\u1eafc-xin, v\u1eafc-xin c\u00fam v\u00e0 du l\u1ecbch c\u1ee7a Ch\u01b0\u01a1ng tr\u00ecnh Ch\u1ee7ng ng\u1eeba Qu\u1ed1c gia (NIP) ph\u1ea3i \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o cho B\u1ed9 Y t\u1ebf c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng\u00a0<a href=\"https:\/\/www2.health.vic.gov.au\/public-health\/immunisation\/cold-chain-management\/cold-chain-breach-reporting\" target=\"_blank\" rel=\"noopener\">Bi\u1ec3u m\u1eabu B\u00e1o c\u00e1o vi ph\u1ea1m chu\u1ed7i cung \u1ee9ng l\u1ea1nh<\/a>. DH s\u1ebd ph\u00e1c th\u1ea3o c\u00e1c \u0111\u1ec1 xu\u1ea5t cho c\u00e1c b\u01b0\u1edbc ti\u1ebfp theo c\u1ea7n th\u1ef1c hi\u1ec7n.<\/p>\n<p>C\u00e1c vi ph\u1ea1m trong chu\u1ed7i cung \u1ee9ng l\u1ea1nh \u0111\u1ed1i v\u1edbi v\u1eafc xin COVID-19 ph\u1ea3i \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o cho Trung t\u00e2m \u0110i\u1ec1u h\u00e0nh V\u1eafc xin Kh\u1ed1i th\u1ecbnh v\u01b0\u1ee3ng chung (VOC) theo s\u1ed1 1800 318 208. VOC s\u1ebd \u0111\u01b0a ra l\u1eddi khuy\u00ean v\u1ec1 c\u00e1ch qu\u1ea3n l\u00fd c\u00e1c vi ph\u1ea1m trong chu\u1ed7i cung \u1ee9ng l\u1ea1nh.<\/p>\n<\/div><div class=\"vc_row row-internal row-container\"><div class=\"row col-one-gutter row-child\"><div class=\"wpb_row row-inner\"><div class=\"wpb_column pos-top pos-center align_left column_child col-lg-12 single-internal-gutter\"><div class=\"uncol style-light\" ><div class=\"uncoltable\"><div class=\"uncell no-block-padding\" ><div class=\"uncont\" >\n\t<div class=\"wpb_raw_code wpb_raw_html\" >\n\t\t<div class=\"wpb_wrapper\">\n\t\t\t<div style=\"padding: 56.25% 0 0 0; position: relative;\"><iframe style=\"position: absolute; top: 0; left: 0; width: 100%; height: 100%;\" src=\"https:\/\/player.vimeo.com\/video\/594082051?color=f5e10f&amp;title=0&amp;byline=0&amp;portrait=0\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><span data-mce-type=\"bookmark\" style=\"display: inline-block; width: 0px; overflow: hidden; line-height: 0;\" class=\"mce_SELRES_start\"><\/span><span data-mce-type=\"bookmark\" style=\"display: inline-block; width: 0px; overflow: hidden; line-height: 0;\" class=\"mce_SELRES_start\"><\/span><\/iframe><\/div>\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"uncode_text_column\" ><\/p>\n<h2><strong>T\u00e0i li\u1ec7u <\/strong><\/h2>\n<ul>\n<li><a href=\"https:\/\/www.health.gov.au\/resources\/publications\/national-vaccine-storage-guidelines-strive-for-5\" target=\"_blank\" rel=\"noopener noreferrer\">H\u01b0\u1edbng d\u1eabn b\u1ea3o qu\u1ea3n v\u1eafc xin qu\u1ed1c gia: Ph\u1ea5n \u0111\u1ea5u 5<\/a><\/li>\n<li><a href=\"https:\/\/www2.health.vic.gov.au\/public-health\/immunisation\/cold-chain-management\" target=\"_blank\" rel=\"noopener noreferrer\">B\u1ed9 Y T\u1ebf \u2013 Qu\u1ea3n L\u00fd Chu\u1ed7i L\u1ea1nh<\/a><\/li>\n<li><a href=\"https:\/\/www.coronavirus.vic.gov.au\/victorian-covid-19-vaccination-guidelines\" target=\"_blank\" rel=\"noopener\">B\u1ed9 Y t\u1ebf \u2013 H\u01b0\u1edbng d\u1eabn ti\u00eam ch\u1ee7ng COVID-19 c\u1ee7a Victoria<\/a><\/li>\n<\/ul>\n<p>\n<\/div><div class=\"uncode_text_column\" ><\/p>\n<div class=\"reviewedSection\">\n<p><strong>T\u00e1c gi\u1ea3:<\/strong> Georgie Lewis (Gi\u00e1m \u0111\u1ed1c l\u00e2m s\u00e0ng SAEFVIC, Vi\u1ec7n nghi\u00ean c\u1ee9u tr\u1ebb em Murdoch)<\/p>\n<p><strong>\u0110\u01b0\u1ee3cxem x\u00e9t b\u1edfi:\u00a0<\/strong>Rachael McGuire (\u0110i\u1ec1u ph\u1ed1i vi\u00ean y t\u00e1 gi\u00e1o d\u1ee5c MVEC)<\/p>\n<p><strong>Ng\u00e0y:<\/strong>\u00a0th\u00e1ng 9 n\u0103m 2021<\/p>\n<p>T\u00e0i li\u1ec7u trong ph\u1ea7n n\u00e0y \u0111\u01b0\u1ee3c c\u1eadp nh\u1eadt khi c\u00f3 th\u00f4ng tin m\u1edbi v\u00e0 c\u00f3 v\u1eafc-xin. Nh\u00e2n vi\u00ean c\u1ee7a Trung T\u00e2m Gi\u00e1o D\u1ee5c V\u1eafc-xin Melbourne (MVEC) th\u01b0\u1eddng xuy\u00ean xem x\u00e9t \u0111\u1ed9 ch\u00ednh x\u00e1c c\u1ee7a c\u00e1c t\u00e0i li\u1ec7u.<\/p>\n<p>Qu\u00fd v\u1ecb kh\u00f4ng n\u00ean coi th\u00f4ng tin trong trang web n\u00e0y l\u00e0 t\u01b0 v\u1ea5n y t\u1ebf chuy\u00ean nghi\u1ec7p, c\u1ee5 th\u1ec3 cho s\u1ee9c kh\u1ecfe c\u00e1 nh\u00e2n c\u1ee7a qu\u00fd v\u1ecb hay c\u1ee7a gia \u0111\u00ecnh qu\u00fd v\u1ecb. \u0110\u1ed1i v\u1edbi c\u00e1c lo ng\u1ea1i v\u1ec1 y t\u1ebf, bao g\u1ed3m c\u00e1c quy\u1ebft \u0111\u1ecbnh v\u1ec1 ch\u1ee7ng ng\u1eeba, thu\u1ed1c men v\u00e0 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c, qu\u00fd v\u1ecb lu\u00f4n ph\u1ea3i tham kh\u1ea3o \u00fd ki\u1ebfn c\u1ee7a chuy\u00ean vi\u00ean ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe.<\/p>\n<\/div>\n<p>\n<\/div><\/div><\/div><\/div><\/div><\/div><script id=\"script-row-unique-0\" data-row=\"script-row-unique-0\" type=\"text\/javascript\" class=\"vc_controls\">UNCODE.initRow(document.getElementById(\"row-unique-0\"));<\/script><\/div><\/div><\/div>\n<\/div>","protected":false},"featured_media":0,"template":"","meta":{"_acf_changed":false,"_lmt_disableupdate":"no","_lmt_disable":"","footnotes":"","_wp_rev_ctl_limit":""},"first_letter":[11],"class_list":["post-4039","references","type-references","status-publish","hentry","first_letter-c"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.8 - 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